将人工智能用于病人护理时的伦理考虑因素:系统综述。

IF 3.8 3区 医学 Q1 NURSING International Nursing Review Pub Date : 2024-11-15 DOI:10.1111/inr.13059
Walaa Badawy, Haithm Zinhom, Mostafa Shaban
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引用次数: 0

摘要

目的:探讨护理专业人员在将人工智能(AI)融入患者护理过程中所面临的伦理考虑和挑战:背景:将人工智能融入护理实践可提高临床决策和操作效率,但也会引发有关隐私、责任、知情同意和维护以人为本的护理等方面的伦理问题:方法:根据《系统综述和元分析首选报告项目》(PRISMA)指南进行了系统综述。从 PubMed、Embase、IEEE Xplore、PsycINFO 和 CINAHL 等数据库中选取了 13 项研究。主题分析确定了与护理中使用人工智能有关的关键伦理主题:综述强调了关键的伦理挑战,如数据隐私和安全、人工智能驱动决策的问责制、人工智能决策的透明度以及在护理中保持人情味。研究结果强调了利益相关者参与、护士继续教育和健全的管理框架对指导护理领域实施人工智能伦理的重要性:讨论:研究结果与现有文献中关于人工智能在医疗保健中的伦理复杂性的论述一致。应对这些挑战需要加强护理人员在人工智能方面的能力,倡导以患者为中心的人工智能设计,并确保人工智能的整合符合伦理标准:尽管人工智能为护理实践带来了巨大的益处,但它也带来了必须谨慎应对的伦理挑战。加强护理教育、促进利益相关者的参与以及制定全面的政策对于从伦理角度将人工智能融入护理工作至关重要:人工智能可以提高临床决策和效率,但护士必须通过持续教育和参与人工智能管理,积极维护人文关怀:建立适合护理领域人工智能的伦理框架和数据保护政策。支持持续的专业发展,并为人工智能在医疗保健领域的伦理整合分配资源。
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Navigating ethical considerations in the use of artificial intelligence for patient care: A systematic review.

Aim: To explore the ethical considerations and challenges faced by nursing professionals in integrating artificial intelligence (AI) into patient care.

Background: AI's integration into nursing practice enhances clinical decision-making and operational efficiency but raises ethical concerns regarding privacy, accountability, informed consent, and the preservation of human-centered care.

Methods: A systematic review was conducted, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Thirteen studies were selected from databases including PubMed, Embase, IEEE Xplore, PsycINFO, and CINAHL. Thematic analysis identified key ethical themes related to AI use in nursing.

Results: The review highlighted critical ethical challenges, such as data privacy and security, accountability for AI-driven decisions, transparency in AI decision-making, and maintaining the human touch in care. The findings underscore the importance of stakeholder engagement, continuous education for nurses, and robust governance frameworks to guide ethical AI implementation in nursing.

Discussion: The results align with existing literature on AI's ethical complexities in healthcare. Addressing these challenges requires strengthening nursing competencies in AI, advocating for patient-centered AI design, and ensuring that AI integration upholds ethical standards.

Conclusion: Although AI offers significant benefits for nursing practice, it also introduces ethical challenges that must be carefully managed. Enhancing nursing education, promoting stakeholder engagement, and developing comprehensive policies are essential for ethically integrating AI into nursing.

Implications for nursing: AI can improve clinical decision-making and efficiency, but nurses must actively preserve humanistic care aspects through ongoing education and involvement in AI governance.

Implications for health policy: Establish ethical frameworks and data protection policies tailored to AI in nursing. Support continuous professional development and allocate resources for the ethical integration of AI in healthcare.

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来源期刊
CiteScore
7.90
自引率
7.30%
发文量
72
审稿时长
6-12 weeks
期刊介绍: International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.
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